Provider Demographics
NPI:1699555763
Name:ALMAHMOUD, SHAHAD (PHARMD)
Entity type:Individual
Prefix:
First Name:SHAHAD
Middle Name:
Last Name:ALMAHMOUD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 AVIATION RD APT 104
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-1260
Mailing Address - Country:US
Mailing Address - Phone:781-941-4043
Mailing Address - Fax:
Practice Address - Street 1:99 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:DELMAR
Practice Address - State:NY
Practice Address - Zip Code:12054-1506
Practice Address - Country:US
Practice Address - Phone:518-262-0942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY070741183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist